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03-101598i City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Building - Commercial Permit #: 03 - 101598 - 00 - CO Inspection request line: 253.835.3050 Project Name: HIGHLINE CAMPUS BUILDING Project Address: 33320 1ST WAY S Parcel Number: 926500 0250 Project Description: Re -roof work to tear off existing roof system of existing commercial building to decking and replace with new sarnafil system, subject to field inspection. Owner Applicant Contractor Lender Diane Share Sub- Foreman BOSNICK ROOFING BOSNICK ROOFING Diane Share Sub- Foreman 33310 IST WAY S Construction Type: 33310 1ST WAY S FEDERAL WAY WA FEDERAL WAY WA 98003 -4544 98003 -4544 Includes: Census category: 555 - Non -st #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Lead: Floor Area (Sq. Ft.), Census Category ............... .................................. 555 - Non - structural roofing p Mechanical.......... ............... ......,.. No Number of Stories ....... .......... ..............................2 Permit for Building Shell Only,....... ..............No Plumbing........: .................. No Zoning 'Designation ..................................... - .i......OP CONDITIONS: 1. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES October 29, 2003. Permit issued on May 2, 2003 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Owner or agent: Date: 2 W. P • INSPECTION LOG POSWIS CARD ON THE FRONT OF BUILD - ' Federal W BUI #ING DIVISION INSPECTION RECORD PERMIT #: 03- 101598 -00 -CO OWNER'S NAME: Diane Share Sub- Foreman SITE ADDRESS: 33320 IST S ( ) FOOTINGS /SETBACKS ( ) DRAINAGE: Line ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: D`'JV ( ) LOUGH MECHANICAL. ( ) SHEATHING SI:MAR WALLS .ECTI.:CAL ROUGH -IN INSPECTION REQUEST PHONE #: 253- 835 -3050 ( ) FOUNDATION W. ( ) Connection Water Gas piping Roof Floor Ditch Cover ( ) WALLBOARD NAILING ( ) ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL. ( ) SUSPENDED CEILING I CONSTRUCno PERMIT APLICATION ` CITY OF �' PPLICATION NUMBER: Q LS-41 K - _Qal CU If � a Federal Way PPLICATION NUMBER: QP�,�03��nn��pp PPLICATION NUMBER: "The followin n R&W btmation — Please print (in ink) or type** r t �1(�, DEFT, Please note: Electrical, Fire'Pr4Wi �% *Systems and Engineering permits may require a separate application. PROPERTY • • F SITE ADDRESS: • L.0 ASSESSOR'S TAX /PARCEL #: i I LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROIECT INFORMATION TYPE OF PROJECT (This application): BUILDING o PLUMBING o MECHANICAL o DEMOLITION o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCR�f TION (Provide de led description : ,C(�t Y tJ�l 7� 1J rinq / o© V'C fJlGi'if.Q PROJECT NAME: PROPERTY OWNER: N A 02Qmr S c MAILING ADDR SS (STREET ADDRESS; CITY, STATE, ZIP): CONTRACTOR: APPLICANT: 12 L) 1 G4 `4 (DAYTIME PHONE' ) NAME: ©'s 00 10�(J✓ MAILIN RESS (,E�T ADDRESS; TE. IP): © l �O EVENING PHONE (2s "3) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX ND-1BER: CONTRACTOR'S REGISTRATION NUMBER. . tC , I EXPIRATION DATE: 1 % / (COPT' of card required) NAME: DAYTIME PHONE: , MAI NG ADDRESS (STREET AD SS- CITY, STATE, ZIP : EVENING PHONE: I �o )3ox 6 �b 0) ) _ J RELATIONSHIP TO PROJECT: i FAX NUMBER: ❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE): ( ) i E -MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3D Coo, SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) * *NEW RESIDENTIAL CONSTRUCTION OW • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .. ■ PR03ECT FLOOR AREAS FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) JTSCLOTMFR /STGNATHRF RLC I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred In the Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including Its officers and a ployees, upon the accuracy of the Information plied to the ci as a p of this application. ,,tt�� NAME /TITLE: DATE: V ❑ PROPERTY OWNER ❑ JUCANT ❑ ONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253{661 -4000 • FAX: 253 -661 -4129 www.dwoffedgniway.com FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) JTSCLOTMFR /STGNATHRF RLC I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred In the Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including Its officers and a ployees, upon the accuracy of the Information plied to the ci as a p of this application. ,,tt�� NAME /TITLE: DATE: V ❑ PROPERTY OWNER ❑ JUCANT ❑ ONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253{661 -4000 • FAX: 253 -661 -4129 www.dwoffedgniway.com